ECOS Final PE Stuff

Question 1

C4 Dermatome

Answer 1

over AC joint

Question 2

C5 Dermatome

Answer 2

Lateral shoulder

Question 3

C6 Dermatome

Answer 3

Thumb and lateral forearm

Question 4

C7 Dermatome

Answer 4

Palmar side of middle finger

Question 5

C8 Dermatome

Answer 5

Pinky finger

Question 6

+0/5 Strength

Answer 6

absent muscle contraction

Question 7

+1/5 Strength

Answer 7

flicker of muscle contraction

Question 8

+2/5 Strength

Answer 8

active movement with gravity eliminated

Question 9

+3/5 Strength

Answer 9

active movement against gravity

Question 10

+4/5 Strength

Answer 10

active movement against gravity and some resistance

Question 11

+5/5 Strength

Answer 11

normal strength

Question 12

4+ DTR

Answer 12

very brisk with clonus

Question 13

3+ DTR

Answer 13

brisker than average

Question 14

2+ DTR

Answer 14

normal

Question 15

1+ DTR

Answer 15

diminished

Question 16

0+ DTR

Answer 16

absent

Question 17

0/3 Pulse

Answer 17

absent

Question 18

+1/3 Pulse

Answer 18

diminished

Question 19

+2/3 Pulse

Answer 19

normal

Question 20

+3/3 Pulse

Answer 20

bounding

Question 21

Capillary refill

Answer 21

<2 seconds normal

Question 22

Apprehension Test:

Shoulder aBducted to 90 and elbow flexed to 90, stabilize shoulder and passive external rotation

Answer 22

+ Test = apprehension

Indicates: glenohumeral instability

Question 23

Empty Can Test:

Pt flex shoulder to 90, aBduct to 45, internally rotate to point thumbs down; phys apply inferior force while pt resists

Answer 23

+ Test = pain or weakness

Indicates: supraspinatus pathology

Question 24

Drop Arm Test:

Pt aBducts shoulder to 90, then slowly drops UE to neutral

Answer 24

+ Test = uncontrolled arm drop

Indicates: supraspinatus pathology

Question 25

Painful Arc Test:

Pt aBducts arm starting at neutral

Answer 25

+ Test = pain from 60-120 degrees aBduction

Indicates: subacromial bursa impingement and/or rotator cuff injury

Question 26

Neer Impingement:

Stabilize shoulder, pronate forearm and PASSIVELY flex shoulder into full flexion

Neer to the Ear

Answer 26

+ Test = pain

Indicates: subacromial bursa impingement and/or rotator cuff injury

Question 27

Hawkins Test:

Flex shoulder and elbow to 90 degrees, passively internally rotate shoulder

Answer 27

+ Test = pain

Indicates: subacromial bursa impingement and/or rotator cuff injury

Question 28

Cross Arm Test:

Passively adduct arm across pt chest; monitor posterior aspect of AC joint

Answer 28

+ Test = pain or tissue texture changes in AC joint

Indicates: AC joint pathology

Question 29

Biceps Reflex

Answer 29

C5*-6

Question 30

Triceps Reflex

Answer 30

C6-7*

Question 31

Brachioradialis Reflex

Answer 31

C5-6*

Question 32

Varus Test (Elbow)

Answer 32

Apply lateral force to test radial collateral L

Question 33

Valgus Test (Elbow)

Answer 33

Apply medial force to test ulnar collateral L

Question 34

Medial Epicondylitis Test

Answer 34

Flex wrist with extended elbow

Pain = golfer’s elbow

Question 35

Lateral Epicondylitis Test

Answer 35

Extend wrist with extended elbow

Pain = tennis elbow

Question 36

Phalen’s Sign

Answer 36

Push dorsum of hands together and hold

reproduction of CTS symptoms = CTS